For decades Mycoplasma pneumoniae has been recognized as a common etiologic agent of acute lower respiratory infection accounting for 20 to 30% of community-acquired pneumonia in the general population (3,6,32,47). More recently M. pneumoniae respiratory infection has been associated with reactive airway disease and asthma (27). While the clinical significance of Mycoplasma respiratory infections is becoming clearer, the involved immunopathogenesis remains to be understood.A critical process of the innate immune response is the differentiation of naïve CD4 ϩ T cells into Th1 and Th2 effector cells. In general, the stimulation of Th1 cells is promoted as a response to intracellular pathogens, while Th2 cells are protective against extracellular microorganisms and are increased in allergic asthmatic patients. Even though evidence suggests a direct association between allergic asthma and Th2 cytokines, a recent study suggests otherwise for asthma associated with infection (42). In a murine model of Mycoplasma respiratory infection, the absence of interleukin-4 (IL-4), a key Th2 cytokine, resulted in exacerbated airway obstruction (AO) and airway hyperreactivity (AHR), instead of being protective (42). In addition, other in vivo studies have shown that M. pneumoniae infection induces a Th1 cytokine response in the lungs with associated AO, AHR, and lung inflammation (12, 17).As IL-4 has a key role in Th2 signaling, IL-12 has a pivotal role in the Th1-mediated immune response. IL-12 is a heterodimeric cytokine that is composed of two subunits (p40 and p35) and is produced by antigen-presenting cells (phagocytes and dendritic cells) and targets natural killer and the T cells inducing the production of gamma interferon (IFN-␥; the Th1 effector cytokine) (15,26,37). To evaluate the role of IL-12 in the pathogenesis of M. pneumoniae respiratory infection, we studied the effect of IL-12 deletion on airway dysfunction and inflammation using IL-12 (p35) knockout animals in our established murine model of M. pneumoniae pneumonia (12,13,17,18).
MATERIALS AND METHODSOrganism and growth conditions. M. pneumoniae (ATCC 29342) was reconstituted in SP4 broth and subcultured after 24 to 48 h in a flask containing 20 ml of SP4 medium at 37°C. Approximately 72 h later, the broth turned an orange hue, the supernatant was decanted, and 2 ml of fresh SP4 broth was added to the flask. A cell scraper was used to harvest the adherent mycoplasmas from the bottom of the flask. This achieved an M. pneumoniae concentration in the range of 10 8 to 10 9 CFU/ml (determined by plating dilutions on SP4 agar). Aliquots were stored at Ϫ80°C. All SP4 media contained nystatin (50 units/ml) and ampicillin (1.0 mg/ml) to inhibit growth of potential contaminants.Animals and inoculation. Animal guidelines were followed in accordance with the Institutional Animal Care and Research Advisory Committee. Mice were